Item Number: 36666, 18262
When the Temporary leads for SNM have proven to have given an improvement in symptoms a permanent lead placement is done
The aim was to alter the neuro-transmission from the Spinal Centre to the Bladder:
Why is it done?
- To alter the neuro-transmission from the Spinal Centre to the Bladder:
- Refractory Over Active Bladders with Urge Incontinence.
- Under Active Bladders
- Chronic Pelvic Pain
- Faecal Incontinence
- Causative factors:
– Undetermined
– Neurogenic causes such as Multiple Sclerosis
When at least 2 anticholinergic drugs or B-adrenergic drugs have failed to have provided an improvement in symptoms of OAB
An alternative for ISC or permanent IDC for UAB
The aim was to alter the neuro-transmission from the Spinal Centre to the Bladder
This initial 2-week trial would have provided > 50% improvement in urinary symptoms
How is it done?
- Sedation or GA is administered with a local anaesthetic
- You will be placed prone (on your stomach) with lower back and buttocks exposed
- The tined lead that has been placed in the S3 foramina of the sacrum has been connected to an external battery
- The external lead connection will be removed and a larger pocket will be made for the permanent subcutaneous battery and connection
- Subcutaneous sutures will be placed, which will dissolve.
Complications
- Some local discomfort may be experienced.
- A nerve stimulator may provide abnormal sensations, which your body adjusts to.
- A Representative from Medtronic will be in contact with you to check on your settings and responses.
- NB! Each person is unique and for this reason, symptoms may vary!
Copyright 2019 Dr Jo Schoeman